| NPI | 1407040512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLE L ABRAMSON Owner 864-850-1441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL me0084359) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME0084359) |
| 2085U0001X Radiology, Diagnostic Ultrasound (Licence: FL ME0084359) | |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2007-08-31 |